Individual
DR. MATTHEW ALAN LUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 860W, SANTA MONICA, CA 90404-2189
(310) 828-3209
(310) 828-5165
Mailing address
2001 SANTA MONICA BLVD, STE 1170W, SANTA MONICA, CA 90404-2122
(310) 417-5900
(310) 410-1001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A82116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14560
PTAN
CA
Enumeration date
06/20/2006
Last updated
07/21/2016
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